Lectures

Chemical Meningitis, Leptomeningeal Carcinomatosis, Neurosyphilis, Lyme Disease

by Carlo Raj, MD
(1)

Questions about the lecture
My Notes
  • Required.
Save Cancel
    Learning Material 2
    • PDF
      Slides 10 CNSInfections Neuropathology I.pdf
    • PDF
      Download Lecture Overview
    Report mistake
    Transcript
    At this juncture once again, let me layout the plan for meningitis for you. Overall, the topic in neuropathology that we are dealing with here is CNS infections and up until this point, really, all of everything we’ve done has been infections. Now, this is a small topic but just to make sure we’re clear. Chemical meningitis, obviously, this is not infectious, but it behaves like your traditional meningitis caused by infections. Are we clear? So maybe iatrogenic, therefore, maybe myelography was being done resulting in a chemical meningitis. Drug related, NSAIDS, your co-trimoxazole, penicillin, INH, and IVIG is an important one, isn’t it? There are a couple indications in which IVIG would be recommended. What if you had a child that had-- Take a look at the mucus of your child and on the tongue specifically, you find it to be strawberry covered or looks like a skin of a strawberry. You take a look at the sclera and the conjunctiva, they are bilaterally injected. You take a look at the skin itself and it’s a desquamating rash There’s a fever. No doubt, there’s a fever. And there is cervical lymphadenopathy. You put all these together and I’m referring to Kawasaki. In Kawasaki, your treatment of choice would be what management? IV immunoglobulin. Could also result in possibly chemical meningitis. Just to make sure that you're clear. Say that your patient had an intracranial dermoid tumor. What does the dermoid tumor mean to you? It’s one of those tumors that you’ve heard about before, in which instead of it being a deep type of fibromatosis, maybe perhaps missed tumor and there is rupture resulting in meningitis-type of symptoms. You’ve heard of craniopharyngioma, something that you could find in a child and usually what you thinking about in this child?...

    About the Lecture

    The lecture Chemical Meningitis, Leptomeningeal Carcinomatosis, Neurosyphilis, Lyme Disease by Carlo Raj, MD is from the course CNS Infection—Clinical Neurology. It contains the following chapters:

    • Chemical Meningitis
    • Leptomeningeal Carcinomatosis
    • Neurosyphilis
    • Lyme Disease

    Included Quiz Questions

    1. CSF shunt
    2. Myelography induced
    3. Drug induced
    4. Rupture of intracranial dermoid
    5. Craniopharyngioma
    1. Ependymoma
    2. Breast cancer
    3. Small cell cancer
    4. Melanoma
    5. PNET tumor
    1. The absence of direct or consensual light reflex, but pupils constrict with accommodation.
    2. The presence of direct or consensual light reflex, but pupils constrict with accommodation.
    3. The absence of direct or consensual light reflex, but pupils dilate with accommodation.
    4. The presence of direct or consensual light reflex, but pupils dilate with accommodation
    5. The absence of direct but presence of consensual light reflex, but pupils constrict with accommodation.
    1. Cranial nerves 9 and 10 are frequently affected.
    2. Patients can present with Argyle-Robertson pupil.
    3. Patients can present with only dementia.
    4. Patients can present in the primary, secondary or tertiary stages of syphilis.
    1. FTA -Abs
    2. CSF pleocytosis of elevated protein
    3. RPR
    4. VDRL
    5. History and examination findings
    1. Argyle-Robertson Pupil
    2. Aspectic meningitis
    3. Facial nerve palsies
    4. Polyneuropathies
    5. Mild encephalopathies
    1. Intrathecal contrast
    2. Drugs that are given for the treatment for toxoplasma
    3. Toxoplasma gondii parasite causing meningitis
    4. Fungal meningitis due to the immunocompromised status of the patient
    5. Intracranial tumor causing meningitis

    Author of lecture Chemical Meningitis, Leptomeningeal Carcinomatosis, Neurosyphilis, Lyme Disease

     Carlo Raj, MD

    Carlo Raj, MD


    Customer reviews

    (1)
    5,0 of 5 stars
    5 Stars
    5
    4 Stars
    0
    3 Stars
    0
    2 Stars
    0
    1  Star
    0